risk for infection related to episiotomy ncp scribd
Poe Melee Physical Damage, internet marketing 1.31.2009 Inadequate secondary defenses (e.g., decreased hemoglobin, immunosuppression). (adsbygoogle = window.adsbygoogle || []).push({}); The Episiotomy is done by the doctors in such a way that the incision made just looks like a tear rather than a tear, which heals faster if proper care is taken. Improves Language Development: They help to boost brain cells and help them with their language. Recovery also tends to be lengthy and uncomfortable. Learn about your health condition and how it may be treated. Natural Birth Nursing Care. The enchanting marvel of storytelling inspires kids and helps them relish a magical world. EKG Interpretation for Nurses. Few changes can be seen in your baby after they are 2 or 5 days old. Increased risk of blood loss 3. Ncp Episiotomy Wound - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free. After you are done with your urinating, you need to keep your perineal area clean with warm water and then, complete the process by making the wound dry. Risk for fetal injury. Although there are several remedies to cure episiotomy naturally, one such remedy includes using witch hazel pads that will be kept on a sanitary napkin that is then, placed in contact with the wounds. While many parents struggle to manage sleepy nights, it is quite easy to start from the beginning. ncp effective breast feeding. of “May tahi ako”, as integrity related to due to episiotomy nursing intervention, principles of infection nursing intervention, verbalized by the episiotomy wound wound. Overview The postpartum period is the period of time immediately following delivery to approximately 6 weeks after birth. Discuss treatment options with your healthcare providers to decide what care you want to receive. Jump to Page . 3. Pregnancy complication (e.g., premature rupture of membranes, placenta previ… The warm water can help decrease pain and swelling. The term refers to a nursing care plan. Episiotomy Care After Delivery. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff. Change the pad in 2 to four hours. Firstly, you should save your sensitive episiotomy wound from swelling by keeping it clean every time you use a washroom. Harper Lee's To Kill a Mockingbird 50th Anniversary Celebration, Rich Dad's Cashflow Quadrant: Guide to Financial Freedom, The Bad Beginning: A Series of Unfortunate Events #1. NURSING GOALS: 1. Also, if the baby’s heart rate changes abnormally like it keeps increasing and decreasing as the baby feels difficulty in breathing, the doctor does episiotomy for easily taking out the baby out of the mother’s body. Episiotomy is a crucial process mainly done to allow a larger opening of the vagina that helps the baby to come out of the mother’s body without any problem. If you're not breast-feeding, wear a supportive bra, such as a sports bra. Scribd members can read and download full documents. Watch out for these signs Self-care: Sit on a cushion to help decrease pain. Other than this, different ointments should be taken as per doctor’s prescription and you must avoid taking any random medicine without consulting the doctor. Increased exposure to pathogens 4. Chronic Constipation. Use of this site is subject to our terms of use and privacy policy. The nurse will also check your blood … If your baby has any cuddly toys, be sure to wash them regularly. Ncp Risk for Infection Related to Postop Incision. Nanda? The S.O.C.K. Also, discuss the issue with your health care provider during routine prenatal care. Your nurse will examine your breasts, uterus, and bladder. After you are done with your urinating, you need to keep your perineal area clean with warm water and then, complete the process by making the wound dry. Children are at risk for neglect, abuse, and other negative psychosocial outcomes in families with dysfunctions (Mrazek, Mrazek, Klinnert, 1995). For this reason, ensuring your baby is protected against germs and illnesses in the first few months is of paramount importance. It is concluded with research that they will be spending most of the time inside the womb sleeping only. Risk for infection is one of the common problems of an individual wherein there is an alteration or disturbance in the immune defenses which causes microorganisms to enter and invade the body which later one causes different kinds of infections. Goal: emotional support. Risk Factors: Presence of infection, broken skin and/or traumatized tissues. 298071042 Nursing Care Plan for Angina Pectoris NCP. Post-delivery care must be ensured so that the mother’s body recovers from all the damage that has occurred due to delivery. This is the perfect way to end the pain that occurs in the mothers due to the episiotomy. - BY Crissy Jane One of the common causes of discomfort is episiotomy. 2. Nursing Care Plan 2. Inadequate primary defense, like tissue damage and broken ski… If you find yourself avoiding bowel movements out of fear of hurting your perineum or aggravating the pain of hemorrhoids or your episiotomy wound, take steps to keep your stools soft and regular. Risk for decreased placental perfusion. 1 gikalintura” incision into the infection 2.) Start by putting a small tub on the top of toilet seat. Every story brings them to experience new aspects of life. Nursing Care Plan For Postpartum Normal Delivery / Nursing Care Plan Preterm Labor Q6ngy9dy70nv - Pain in the vaginal area ... and postpartum issues and related topics, including breastfeeding, cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood normal delivery. For Nursing interventions, I was thinking O2 to mom, position changes, and monitoring FHT/FHR by EFM. Risk for infection. Inadequate acquired immunity. Invasive procedures 2. 6, Issue 3, pp: (789-802 ... give special attention to maintain perineal hygiene and episiotomy care.. During pregnancy, the baby is of larger size and the doctor needs to use forceps or ventouse suction to mainly aid in the birth of the baby. Soothes The Child: It is found that the.... Come on, sell the idea of signing up with us in two lines so well that they HAVE to sign up. At risk for pain related to the trauma to perineum, as manifested by client’s request for pain medication. Invasive procedures and/or increased environmental exposure. 2. It is quite evident.... After the baby is born, most parents' first question will be how much weight the baby has? 2. Risk for infection related to 2nd degree episiotomy. Compromised circulation 5. It will help in getting proper supplements that your body needs to recover from the after-effects of pregnancy as a whole. You are on page 1 of 1. From My Soul, Frequently Asked Questions About Art Therapy As An Alternative Treatment, Chinmaya Mission Geeta Chanting Chapter 2. Download now. The present study aimed to determine the effect of perineal self care instructions on episiotomy pain and healing among postpartum women. It is important for one to not contaminate the incisional site with bacteria from the rectal area. NCP Risk for Infection. nursing diagnosis for episiotomy. Expected outcomes: identify behaviors to prevent / reduce the risk of infection. Warm water is added to the tub that aids in boosting the vaginal blood flow which makes the recovery process faster. However, there are other situations as well, when episiotomy becomes a vital thing to do: How fast you get rid of the pain, discomfort, and swelling from an episiotomy entirely depends on the degree of the cut made. C. Nursing care plan/implementation: 1. Episiotomy Wound NCP. Rupture of amniotic membrane 8. Newborn babies generally keep infections on the skin, mouth, and nose, but if germs get inside, they can cause more inconvenient and occasionally severe issues. Prolonged or dysfunctional labor with an extended latent phase can contribute to problems of infection, maternal exhaustion, severe stress, and hemorrhage caused by uterine atony/rupture, putting the fetus at greater risk for hypoxia and injury. Get regular updates, great recommendations and other right stuff at the right time. Disseminated intravascular coagulopathy 4. NURSING DIAGNOSIS: Pain re: midline episiotomy, puffy perineum AEB client statement of perineal pain at level “8". Infection 2. CARE AGREEMENT: You have the right to help plan your care. Unlock the full document with a free trial. high vascularity of involved area. Normal delivery is the process by which the neonates use the right pathway (birth canal) while leaving the womb. A quasi-experimental research design was used. Aneurysm 3. “Beingtheparent.com is the best thing that has happened to me as a mother. Planning: After 4 hours of nursing intervention, the patient will understand the precautions needed to prevent infection. What Is Story Time And What is the importance of Storytelling for Kids? Limit Outside Visitors Whilst you can't keep your baby in a bubble for 6 months, you can limit who visits. DIAGNOSIS Subjective: Impaired skin Altered epidermis After 30 mins. Goals Theoretical Basis. • Risk for infection, related to surgical incision • Ineffective tissue perfusion, related to edema • Acute pain, related to surgery • Disturbed body image, related to loss of breast • Decisional conflictabout treatment, re-lated to concerns about risks and benefits • Interrupted family processes, related to … Nursing Diagnosis: Risk for Deficient Fluid Volume related to heavy bleeding during delivery. Use this nursing diagnosis guide to create your Risk for Infection Care Plan. Within 1 hour of receiving pain medication, client will state pain level has been reduced to “0-2" on pain scale. Monitor episiotomy sire for redness, edema, warmth or discharge to identify infection Instruct pt on use of sitz bath to promote healing, hygiene, and comfort. Scribd is the world's largest … Complications 1. Do this 10 times a … B. Polar Bear, Polar Bear, What Do You Hear? 0 comment. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range. Lacerations & broken skin destroys the body’s first line of defense, the skin. This is the natural method for mammals to bring their offspring forth. likely happen. Pharmaceutical agents, like immunosuppressants 3. 2. : Not familiar with that, can you enlighten me? (adsbygoogle = window.adsbygoogle || []).push({}); Conclusion I have a nursing care plan book that lists "Facial mask of pain" and "distraction" under the category of "possibly evidenced by" for it's Nursing diagnoses of "Acute Pain." These infections can be caused by viruses, bacteria, fungi and other microorganisms. So with that in mind, here are some essential tips for keeping your newborn baby protected from germs and illnesses. In such an instance, episiotomy will be performed. Your first 30 days are free! Determine analgesic selections (narcotic, nonnarcotic, or NSAID) based on type and severity of pain. Risk for Infection related to inadequate secondary defenses (decreased hemoglobin, leukopenia, or a decrease in granulocytes (inflammatory response depressed)). Need help for Nursing Dx!!! 3. 3. It is such a wonderful feeling that all the pain that you went through feels nothing. Nursing Diagnosis; 1. It heals the wound and makes the swelling alleviated. Seeing Dead Father Dying Again In Dream, Malnutrition. Here are some of the general guidelines for parents to look at and measure the growth and weight of the baby. A. Assess the patient’s support system and encourage their participation. Inherent coagulopathies 7. improve wound healing, free purulent drainage or erythema, and fever. Nursing Care Plan. Eat foods high in fiber including fruits, vegetables and whole grains and drink plenty of water. Vaccinations help to prevent viral nosocomial pneumonia (Carlianno, 1999). Thanks much Beingtheparent.com - BY Srishti Apte”. : Monitor baseline FHR manually and/or electronically The average birth weight in babies is good as they remain safe from weight-related issues..... As a new parent, you will want to protect your baby from everything. Here are some factors that may be related to Risk for Bleeding: 1. You just can’t stop touching its tiny fingers and feet. Your baby is finally brought to life and you are definitely on cloud nine. This will prevent constipation. The worst part is that most parents don't know the causes of weight loss in babies after birth. Chinmaya Mission Geeta Chanting Chapter 2, Rich Dad's Cashflow Quadrant: Guide to Financial Freedom, The Return of the King: Book Three in the Lord of the Rings Trilogy, Year of Yes: How to Dance It Out, Stand In the Sun and Be Your Own Person, The Positive Shift: Mastering Mindset to Improve Happiness, Health, and Longevity, 0% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save NCP Acute pain related to episiotomy For Later. Following these simple tips will provide relief from swelling and pain persisting on the episiotomy wound. Subjective: Altered comfort: -Episiotomy is a Short-term: -Monitor the patients vital - to obtain baseline -Reports … DISCLAIMER: The material on this website is provided for educational purposes only and is not to be used for medical advice, diagnosis or treatment, or in place of therapy or medical care. Teaching plan on Self-care for postpartum women and newborn care and 2. Get the complete list! Before jumping to them directly, it is important to have a factual understanding of the sleep issues with babies. [Check those that apply] Inadequate primary defences: broken skin, injured tissue, body fluid stasis; Inadequate secondary defenses: immunosuppression, leukopenia episiotomy body’s first risk of care & hygiene care of the temperature line of infection. The procedure can increase the risk of infection and other complications. To sustain motivation/control: Never leave mother and significant other alone during second stage. Do Kegel exercises. The nurse must also thoroughly educate mom (and dad and/or support system) Assessment Pain Head to toe assessment Utilize BUBBLE mnemonic […] 10 Alarming Postnatal Symptoms That Need Medical Attention. NCP-Newborn. Kept warm by providing enough blanket. If your baby is not getting enough breastmilk, it is possible that they will lose a maximum of 10% of birth weight in the first week of life and will regain weight by the second week. It should be started from the third to fourth month of the pregnancy. After the incision has been made, it is necessary to keep it protected from infections. Cancer is a potentially fatal disease caused mainly by environmental factors that mutate genes encoding critical cell-regulatory proteins. NURSING CARE PLAN Acute Pain continued Analgesic Administration [2210] Check the medical order for drug, dose, and frequency of anal-gesic prescribed. 3. Patients who experience neutropenia are at risk for infections. Postpartum complications (e.g., retained placenta, uterine atony) 8. Ncp Risk for Infection Related to Postop Incision. Risk for Infection. Average Newborn Baby Weight: Too low birth weight or too high birth weight may worry infant babies' parents about obesity or malnutrition in the future. ROCO NCP DENGUE. Nursing Interventions Rationale; Note progress of labor. Risk for fetal distress related to decreased FHR of 70 and late decelerations in Stage II Labor, secondary to epidural use. Infections occur when an organism (e.g., bacterium, virus, fungus, or other parasite) invades a … Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Nursing care plan for Risk for Infection related to compromised host defenses secondary to insuffient leukocytes and radiation therapy as evidence by neutrophil count. Keep informed of progress. One of the most searched topics regarding new-born babies is the natural sleep remedies for babies. DOCX, PDF, TXT or read online from Scribd. Knowledge deficit related to episiotomy. This will help to bring down the swelling of the wound area. Lack of immunization 9. This will bring down the chances of infection. During the process of natural birth of a baby, the doctor sometimes tends to make a small incision in the mother’s perineum for the smooth exit of the baby, without damaging the vagina of the mother; this process is known as Episiotomy. Throughout shift, client will state that perineal pain has lessened to a tolerable level. Sitz Bath. Sleep Issues with Babies - It all Starts after Coming to the World: When your baby is already so good at sleeping, why do you have to look for the tips for baby sleep? A member asked: what is the nanda nursing diagnosis for syncope? were perineum in is not ♀ used defense, reinforced. A patient becomes at risk for infection if he is vulnerable to pathogenic organisms. NCP NEWBORN ... Care Using Knowledge and Compassion Theory-based (Betty Neuman) NURSING CARE PLAN Assessment Diagnosis. Nursing Care Plan for Morbus Basedow Nursing Diagnosis: Risk for Decreased Cardiac Output related to: uncontrolled hyperthyroidism, state of hyper-metabolism; increased workload of the heart; changes in venous return flow and systemic vascular resistance; frequency changes, cardiac rhythm and conduction. NURSING DIAGNOSIS: Risk for Infection Related To:. Enhance The Imagination Power: Storytime helps to boost the imagination power of the child to a greater extent. 3.At risk for pain related to the trauma to perineum, as manifested by client’s request for pain medication. Risk for infection related to a site for organism invasion secondary to surgical incision dehiscence or surgical wound reopen. Weight and size is one such change. Dr. Jeffrey Juchau answered. Risk for Infection of a perineal incision could be r/t poor wound appromixation, or contamination of the site with fecal matter. The mother, as well as the child both, require attention, and it is the responsibility of the whole family to take good care of both of them in the right manner. Improves Bonding: Children understand emotions and reading together strengthens the parental bond. It can be related to any of the following: 1. This article outlines the answers to this weight loss. This free NCP gives nursing interventions and goals to help care for patients at risk for infections. Your health care provider can suggest foods with plenty of fiber. A high prevalence of HBV/AIDS, an increasing incidence of tuberculosis, and the general risk of diabetes are related to increased rate of infection. ”, “I couldn't have asked for more. A postpartum nursing diagnosis is an ancient term coined in 1953. ncp risk for infection. https://screware.blogspot.com/2014/01/risk-for-infection-nursing-care-plan.html 39 Things Every Nursing Student Needs Before Starting School. Desired Outcome: Post-delivery, the mother will re-establish a functional body fluid volume and a balanced input and output status. CPSP Postpartum assessment and individualized care plan 5/2014 Reviewed 10/2017 1 CPSP Postpartum Assessment and Individualized Care Plan Refer to previous assessments, note any changes and update the patient’s individualized care plan Patient Identifier Baby 3. So, how do we best protect them from something we can't see? Encourage high-risk persons, including health care workers, to have influenza vaccinations. Parents often feel concerned about the baby’s weight loss after birth. The health of the baby is generally examined by his/her weight. If you are concerned about weight loss in your baby, contact your doctor to get better medical advice. The episiotomy is performed when the fetal head is about 3 to 4 cm visible with a contraction. Inadequate primary defenses (e.g., broken skin, stasis of body fluids). And by the time your baby reaches the 38th week in the womb, s/he will be spending more than 95% of the time sleeping. History of falls: Age greater than 70 years. Nursing interventions are intended to reduce the discomfort and allow the woman to take care of herself and her baby. Risk for hematoma 6. Send thanks to the doctor. Ncp Risk for Infection. Nursing Diagnosis: Risk for Infection. Break in the integrity of the skin 6. Institute abuse/neglect protection measures if evidence of inability to cope with family stressors or crisis, signs of parental substance abuse, or significant level of social isolation apparent. Given below are some simple ways that can help in speedy recovery from Episiotomy: A regular massage on the perineal region is important to be started from the time of pregnancy so that there is no pain experienced by the mother after the baby’s delivery. helping nurses, students / professionals, creating NCP in different areas such as medical surgical, psychiatric, maternal newborn, and pediatrics. Client Description A. You always have the right to refuse treatment. Goal: Infection does not occur. Persons at risk for infection are those whose natural defense mechanisms are inadequate to protect them from the inevitable injuries and exposures that occur throughout the course of living. Various risk factors influence the course of this disease, which may lead to many symptoms. And if your baby has a pacifier, be sure to wash it regularly and keep it in a clean pacifier case when not in use. Create an account to receive great content curated, personalised home page, and get support in parenting. (adsbygoogle = window.adsbygoogle || []).push({}); Besides taking special care of the wound, it is mandatory to keep the mother’s diet full of all the vital nutrients, especially fiber. The plan emphasizes the need to identify the problem, communicate about it, and find a solution. Nursing Care Plan Sample: Clinical Placement Schedule - Names and Places: HDGH Policies: Orientation Information: your department University of Windsor your location 401 Sunset Avenue Windsor, Ontario Canada N9B 3P4 Phone: (519) 253-3000 ext:your Ext FAX:your Fax Email:Your Email. pantoprazole. 1 doctor agrees. 'Baby Talking' Or 'Parentese' - What's Your Pick? ... Monitor laceration/episiotomy for signs of infection such as increased redness, edema, pain, or a change to prurlent, foul smelling lochia. 0. T ® Episiotomy is manifest maternal tachycardia “GOAL MET” 0 “Wala man pud ko H an intentional absence of may indicate infection. The nurse will be constantly, but quietly, assessing the baby's overall status during your stay. 6. Rupture … Knowledge will be demonstrated of the importance of utilizing evidence-based practice when creating an individualized plan of care. Massaged the fundus gently and placed the infant on the mother’s breast to stimulate contractions. Episiotomy pain 5. Changed patient’s soiled gown. In your birth plan clearly state that you do not want an episiotomy unless absolutely necessary. One of the common causes of discomfort is episiotomy. The NANDA nursing diagnosis Risk for Infection is defined as at increased risk for being invaded by pathogenic organisms. The most valuable help extended in the most simple way. We hope you think that is sweet. Storytelling is no less than art. Search inside document . The NANDA nursing diagnosis Risk for Infection is defined as at increased risk for being invaded by pathogenic organisms. Star Color Code, Nursing Diagnosis: Hyperthermia related to urinary tract infection (UTI) as evidenced by temperature of 38.8 degrees Celsius, flushed skin, profuse sweating, and weak pulse. Follow these tips for the fast recovery from episiotomy: Before six weeks after an episiotomy, never ever. (adsbygoogle = window.adsbygoogle || []).push({}); Welcoming your baby at home means that you're ready for a new set of experiences that are no less than a roller-coaster ride. Third and fourth degree lacerations 4. 5 Steps to Writing a (kick ass) Nursing Care Plan. Ask your health care provider about a stool softener, if needed. Risk for Infection: At increased risk for being invaded by pathogenic organisms. Assess the location, consistency, and height of the fundus through palpation. Episiotomy is essential during the second stage of labor as the baby needs to come out and there are contractions occurring so, the vaginal opening is made wider that allows the baby to make a safe exit. 3 points 3 points. Mar 11, 2019 - This board is for our available nursing care plans and nursing diagnoses to help student nurses and registered nurses in writing care plans. Search for: Search episiotomy nursing care plan. episiotomy ♀ used single pad for 12 hrs ♀ T = 37°C ♀ Risk for uterine infection r/t lochia and episiotomy ♀ Due to the episiotomy there is an increased risk for being invaded by pathogenic organisms. Patients must be placed in neutropenic precautions. 22. Keep the area clean: Clean the area properly and use clean cotton towels for wiping. Encourage pushing “out through vagina” and encourage mother to touch crowning head; position mirror so woman can see peri Are you spending time with your babies and kids sharing stories that hold the sight of magical moments? A woman needs to go back to her normal state. 2.Risk for infection related to 2nd degree episiotomy. And so, there will be issues like the sleep of your baby that will get hard to resolve. The repair of the episiotomy usually begins after the delivery of the placenta. Risk For Maternal/Fetal Infection. 100% found this document useful (2 votes), 100% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful. Here are some tips you can follow to take care of the episiotomy pain and wound to reduce any chances of infection and promote faster healing. Ineffective Breathing Pattern It helps prevent bacteria build-up and minimizes the chance of any infection. See more ideas about nursing care plan, nursing care, nursing diagnosis. Posted on: February 15, 2021 February 15, 2021 Author: Categories: Technology News Technology News Abnormal liver function 2. Moreover, it is recommended taking plenty of water so that all the wounds get healed naturally. For these reasons, today an episiotomy is … Risk for infection related to It is third prioritized because based on presence of surgical wounds 3 the Types of Nursing Diagnosis the as evidenced by MER 2nd patient’s health is at “risk” and may degree. postpartum patients greater single pad the skin. Inadequate primary defenses (decreased ciliary action, stasis of respiratory secretions) Inadequate secondary defenses (presence of existing infection, immunosuppression), chronic disease, malnutrition; Possibly evidenced by Do you believe that almost 60% of our conversations are based on storytelling? The resultant aberrant cell behavior leads to expansive masses of abnormal cells that destroy surrounding normal tissue and can spread to vital organs resulting in disseminated disease, commonly a harbinger of Imminent patient death. Gastrointestinal disorders (e.g., varices, polyps ,ulcer) 5. Topics for teaching | Find, read and cite all the research you need on ResearchGate It is highly beneficial if ice packs are applied right after the delivery. Helps With Cognitive Development: Stories come in the disguise of cognitive development for your kids. Kenwood Single Din Mounting Sleeve, The Go-Giver: A Little Story About a Powerful Business Idea. However, not every baby grows in a similar way; they grow differently. Nursing Care Plans for Acute Pain. The importance of storytelling for kids is immense. Self-care measures will help in the prevention of long-term effects from episiotomy.Nursing Diagnosis-Risk For Infection Related To 2nd Degree EpisiotomyWith the many degrees of episiotomies there is always the risk for infection. 0. or grams 1.Baby’s DOB: Birth site: 4. NURSING CARE PLAN Nursing diagnosis Desired patient outcome Nursing interventions Rationale Knowledge deficit: Postpartum Care R/T _____ Patient will understand proper self-care techniques, exhibit adequate bonding/role acceptance, and importance of follow up care. Big Nate: What's a Little Noogie Between Friends? Do this 2 to 3 times a day, or as directed. Risk factors may include. Applying ice packs in the first 24 hours following the delivery brings down the swelling and pain considerably. Assess client’s After 2 hours span 0 P perineum through: perineum. If the vaginal opening has not stretched sufficiently during labor. Fill a bathtub with 4 to 6 inches of warm water. Environmental exposure. Nursing Care Plan 4. Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale. Risk for falls related to It is fourth prioritized because based Is It Safe to Take Alprazolam (Xanax) While Breastfeeding? Institute safety precautions as appropriate if Mr. C. receives nar- cotic analgesics. You can also try “, Perform an action that may break the stitches.